4-Attachment A - Respondent Questionnaire.docx
DOCX document 59 KB Posted
- Attached to
- CDBG-DR-Basement Sanitization/HVAC State and local contract opportunity
- Solicitation number
- 541543
- Issued by
- Wayne County, Detroit City, Michigan
About this file
This is a Respondent Questionnaire attachment issued by the City of Detroit Office of Contracting and Procurement (OCP) for the CDBG-DR Basement Sanitization/HVAC contract opportunity in Michigan. The questionnaire serves as an evaluation tool for assessing qualified respondents' ability to provide basement cleaning/sanitizing and HVAC system repair or replacement services under Phase 2 of the CDBG-DR Private Sewer Repair Program (PSRP). Respondents must provide detailed contact information for a single point of contact during the RFP process and identify the partner or manager who will oversee project execution if selected. The questionnaire requires comprehensive background information including legal business name, principal place of business, business entity designation, tax status, Federal Employer Identification Number, state of formation, company phone number, website address, years in business, and average employee count for the preceding three years.
Respondents must demonstrate relevant experience by submitting at least three project references from the last five years of comparable size and scope, including client location, contact person details, dates of service, descriptions of services provided, and identification of key personnel involved. The questionnaire addresses subcontractor utilization, requiring respondents to disclose any subcontractors with their legal names, addresses, and service descriptions, along with at least one relevant reference for each subcontractor. Additionally, respondents must provide documentation of organizational capacity, including an organization chart identifying key personnel, resumes for all key staff, the number of dedicated employees available for the contract, and relevant experience of listed employees. The questionnaire also requires disclosure of prior experience with the City of Detroit, any claims or lawsuits resulting from services provided within the last ten years, and any instances of contract termination.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 9-RFQ 541543.pdf | ||
| 5-EMPLOYEE RIGHTS ON GOVERNMENT CONTRACTS.pdf | ||
| 10-Combined Corporate Accountability and Workforce Safety Affidavit 3-21-2024 FINAL.docx | DOCX document | |
| 7-Attachment C - Pricing.docx | DOCX document | |
| 6-SAM.gov-prevailing wage.pdf | ||
| 2-Attachment E - Professional Service Contract Sample.docx | DOCX document | |
| 8-Equalization Credit Statement.pdf | ||
| 3-Attachment D-2 - Conditions of Award.pdf | ||
| 1-Attachment D-1 Required Forms Affidavits.pdf |
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Text version
City of Detroit Office of Contracting and Procurement (OCP)
Attachment A – Respondent Questionnaire
PART 1 – RESPONDENT EXPERIENCE / ORGANIZATION
1. Respondent’s Contact Information
Complete the following table for your Sole Point of Contact During RFP Process.
| Single Point of Contact for RFP |
| Respondent Response |
a. Name
b. Title
c. Address
d. E-mail
e. Phone Number
Complete the following table for your firm’s Partner and or Manager(s) that will be in charge of this project if awarded.
| Partner and or Manager Contact Details |
| Respondent Response |
a. Name
b. Title
c. Address
d. E-mail
e. Phone Number
2. Respondent Background Information
Complete this table with your background information. Proposals by a partnership or joint venture shall list the full names and addresses of all parties to the joint venture by completing this table for all parties.
Respondent Response
a. Full legal business name.
b. Full legal business address of the firm’s principal place of business and, if different, the location of the place of performance of the contract.
c. Business entity designation, e.g., sole proprietor, Inc., LLC, or LLP.
d. Current tax status and Federal Employer Identification Number (FEIN) (if applicable).
e. State company formed in.
f. Company phone number.
g. Website address (if applicable).
h. Number of years in business.
i. Average number of employees during each of the last three (3) years.
j. Does your company have experience working with the City of Detroit? If so, please list the contracts you hold or have held with the City of Detroit for the last 5 years.
k. Identify any claims or lawsuits that have been brought against your organization as a result of any services provided within the last ten (10) years.
l. Identify any projects in which your contract was terminated for any reason.
3. Prior Experience (Respondent) Describe at least three (3) relevant experiences from the last five (5) years supporting your ability to successfully manage a contract of similar size and scope for the work described in this RFP, by completing the table(s) below.
| Reference Form #1 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided
j. Identify respondent’s key personnel working on this project (if applicable)
| Reference Form #2 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided
j. Identify respondent’s key personnel working on this project (if applicable)
| Reference Form #3 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided
j. Identify respondent’s key personnel working on this project (if applicable)
4. Respondent’s Subcontractor(s) Prior Experience (if applicable)
| Question |
| Respondent Response |
a. Do you intend to utilize any subcontractors?
If yes, provide their legal business name and address, and a description of the goods/services they will supply. Also complete the Subcontractor Reference Form provided below for each subcontractor.
If applicable, describe below at least one (1) relevant experience from the last five (5) years supporting your subcontractor’s ability to successfully perform similar work as set forth in your company’s proposal.
| Subcontractor Reference Form |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided
PART 2 – RESPONDENT CAPACITY
5. Respondent Capacity and Staffing
The Respondent must submit documentation indicating their capacity to perform the variety of services described in this RFQ. Documentation should indicate, at a minimum, the following:
a. Respondent shall provide an organization chart indicating the key personnel who will provide services resulting from this RFQ.
b. Respondent shall provide a resume for each of the key personnel who will provide services resulting from this RFQ.
c. Respondent shall indicate the quantity of employees that can be dedicated these services.
d. Respondent shall indicate the experience and of listed employees.
Revised 8/22/23.
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